Prevention of Hemorrhaging
The global leading cause of maternal death is postpartum hemorrhaging (PPH), which is the loss of more than 500 milliliters of blood after delivery. “More than 30 percent of all maternal deaths worldwide are attributable to PPH, accounting for approximately 130,000 deaths and 2.6 million disabled women every year” (Massachusetts General Hospital, 2016). Not all PPH cases are avoidable or expected, but they can be treated and prevented if bleeding is immediately controlled and managed. This requires the maternity staff to be competent, have sharp critical thinking skills, uterine medications, supplies, and blood products at their disposal. Timing is the key component to saving a woman’s life during a
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Three hours after giving birth she was pronounced dead, without ever having the chance to hold her baby girl. She had hemorrhaged to death, right under the nose of the same staff she worked with, people she and her husband called not only friends but family. How did this happen? Who was responsible?
Court documents revealed, “Daniel was surrounded by trusted co-workers, so when she began bleeding profusely, her cadre jumped to, immediately administering drugs to stanch the flow. Daniel had lost about 1 ½ quarts of blood — three times the average during birth and about one-third the body 's volume” (Kime, 2016). It was also revealed in the court documents that an obstetrician was called in to take the case from the labor and delivery doctor. A blood transfusion was ordered, however, it was 90 minutes later than what is standard by the American College of Obstetricians and Gynecologists as a potential lifesaving measure. It was entirely too late for a blood transfusion but the team proceeded, only to realize all of her body systems were failing. Daniel’s heart went into an extreme tachycardia and then straight into asystole, and no CPR efforts were able to revive her.
Walter Daniel is left to raises their daughter, Victoria alone. He tried to sue the military for medical malpractice after his wife lost her life during childbirth. “Statistics show that two to three women die each day in the U.S. from postpartum hemorrhage, and cases in civilian
Giving birth to a baby is the most amazing and miraculous experiences for parents and their loved ones. Every woman’s birth story is different and full of joy. Furthermore, the process from the moment a woman knows that she’s pregnant to being in the delivering room is very critical to both her and the newborn baby. Prenatal care is extremely important and it can impact greatly the quality of life of the baby. In this paper, the topic of giving birth will be discussed thoroughly by describing the stories of two mothers who gave birth in different decades and see how their prenatal cares are different from each other with correlation of the advancement of modern medicine between four decades.
The nurses did not act as sentries towards the patient or the family. They did not protect the patient’s choice to die in peace, instead they just let the doctor jump in into the situation and try to resuscitate her even though she did not want that.The nurses should have stepped in and asked the frazzled husband what he wants the nurses and doctor to do. Not let the doctor yell at him until he is forced to allow it.
Childbirth is one of the greatest privileges on the earth anyone could have and we, as women, should feel proud to be major contributors for it. Thus, a mother has to play a key role in aiding the healthcare workers to mitigate the health crisis associated with childbirth by performing her duties faithfully. One such associated health crisis is “Premature (preterm) birth” which occurs when the baby is born too early, before 37 weeks of gestational period (CDC, 2015). The rate of preterm birth ranges from 5% to 18% of babies born across 184 countries (WHO, 2015).
“There was a lot of blood,” an EMT told reporters on the scene. “He must have hit her artery just right.” “She’s very lucky,” the ER nurse on duty confirmed. “She’s got a good chance of surviving,but we’re being really careful. Especially since so many people want to talk to
Both Karen and Nancy where in situations that caused them to go unconscious. The doctors in Nancy’s case restarted her heart whereas in Karen’s case she was still breathing. Both sets of doctors placed the girls on feeding and antibiotics. Our text does not explain if Karen’s family tried to appeal the courts or try to remove her from life support, but we do know she lived on it for ten years without recovering in any way before she died. Nancy’s
Maternal mortality represents more than the loss of lives for individual women, as it also reflects the larger value and prioritization of women 's health and threatens the health and survival of families, young children, and even the communities in which they live (Royston and Armstrong, 1989). Maternal mortality is unacceptably high (WHO, 2015b). Globally, approximately 830 women die every day from pregnancy- or childbirth-related complications (ibid.). The causes of maternal mortality are predominately preventable and can be classified into three fundamental causes: (1) medical - consisting of direct medical problems and pre-existent/coexistent medical problems that are aggravated by pregnancy, (2) underlying - social and legal conditions, and (3) health systems laws and policies that address availability, accessibility, and quality of reproductive health services (PHP et al, 2011).
no vital signs however she was resuscitated. She was in a coma for three weeks and was
The author is a nurse in a level two trauma facility in a community of approximately fifty thousand people in Oregon. The community is a college-town surrounded by a large agricultural area. There is a minimal ethnic diversity within the community. The diversity present occurs mainly from internationally students and faculty from the college. There is a growing population of women who desire low interventional births in the community. The author has worked on the labor and delivery unit of the hospital for the last 14 years. The hospital is the only one in the area to offer trial of labor services to women who have previously undergone a cesarean section. The unit on average experiences around 1000 deliveries annually.
Barbara Dawson was forced to leave her hospital room by the staff of the hospital in Florida Panhandle town of Blountstown. She had been admitted for abdominal pain. Dawson responded by saying that she was still feeling very sick, and wasn’t ready to go home. After she had gotten arrested and taken outside into the parking lot, she collapsed and was taken back inside within 20 mins. When a physician went up to Barbara’s car to check on her, she stated that she did not look the same as when she discharged her from the hospital. Ninety minutes after the officer arrived, she had been declared dead by the staff. She had been asked to be left alone, but they continued escorting her away from the hospital. The cause of her death was a blood
Heather Fisher lost nine liters of blood after she delivered her daughter Jasmine. It is a miracle that she survived. Heather had a high-risk pregnancy, and she was already at an increased risk for hemorrhaging because of her previous C-section scars. She went into labor at just 30 weeks pregnant.
The 30-year-old woman was seven months pregnant when an emergency C-section was performed to try to save her unborn child's life after her boyfriend said she had a seizure. Dischman suffered cardiac arrest and was revived in the emergency room, according to CBSPittsburgh.
For almost all of the previous 25 years roughly, the knowledge of pregnancy, labor, and delivery has changed little for some women. But change is arriving to the most traditional establishing, the hospital.
Centre for Maternal and Child Enquiries (CMACE) (2011) Saving mothers’ lives; reviewing maternal deaths to make motherhood safer: 2006-2008. BJOG 18(1): 1-203. London. Blackwell Synergy.
Postpartum hemorrhage (PPH) is a significantly life-threatening complication that can occur after both vaginal and caesarean births (Ricci & Kyle, 2009). Simpson and Creehan (2008) define PPH as the amount of blood loss after vaginal birth, usually more than 500mL, or after a caesarean birth, normally more than 1000mL. However, the definition is arbitrary, attributed to the fact that loss of blood during birth is intuitive and widely inaccurate (Ricci & Kyle, 2009). In line with this, studies have suggested that health care providers consistently underestimate actual blood loss, thus, an objective definition of PPH would be any amount of bleeding that exposes a mother in hemodynamic jeopardy (Ricci &
This woman was invited to the maternity assessment unit due to spontaneous rupture of membranes. This is her first birth in this country as her other 3 children were born in India- All normal vaginal deliveries. Although, her antenatal period had been low risk, she had not had a recent enough full blood count (FBC) taken, which would put her at risk of having a low Hb level and due to her parity – she could also be at risk of a postpartum hemorrhage (Royal college of obstetricians & gynaecologists, 2009). Therefore, the decision was made to put her on delivery suite rather than in the low risk birth centre.